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General NPI Number Information
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NPI Number | 1750441556
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Entity Type | Individual
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Provider Name | AIXA AIMEE TORT P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 1733 CALLE THEIS RIO PIEDRAS HEIGHTS
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City | SAN JUAN
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State | PR
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Zip | 00926-3248
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Country | US
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Telephone | 787-692-3646
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Fax | 787-294-1265
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Provider Business Mailing Address
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Address Line | 1733 CALLE THEIS
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City | SAN JUAN
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State | PR
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Zip | 00926-3200
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Country | US
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Telephone | 787-602-0686
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Fax | 787-294-1265
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 1317
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1317
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License Number State | PR
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